Individual
KIMBERLY SHLAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W BRADLEY PL STE 109, CHICAGO, IL 60618-4716
(737) 332-9439
(773) 754-8730
Mailing address
2500 W BRADLEY PL STE 109, CHICAGO, IL 60618-4716
(737) 332-9439
(773) 754-8730
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
05/07/2020
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